Mills Leslie, Wong Sabrina T, Bhagat Radhika, Quail Donna, Triolet Kathy, Weber Tannis
0-5 Program, Infant, Child and Youth, Vancouver Coastal Health, Vancouver, BC, Canada.
Nurs Leadersh (Tor Ont). 2012 Dec;25(4):63-75. doi: 10.12927/cjnl.2013.23264.
To develop clinical leadership among front-line public health nurses (PHNs).
This paper describes a quality improvement process to develop clinical leadership among front-line PHNs. Three activities were undertaken by a working group consisting mainly of front-line staff: engaging PHNs in an online change-readiness questionnaire, administering a survey to clients who had ever used public health services delivered by one Vancouver Community Infant, Child and Youth (ICY) program team and conducting three group interviews with public health providers. The group interviews asked about PHN practice. They were analyzed using thematic content analysis.
This quality improvement project suggests that PHNs (n=70) strongly believed in opportunities for system improvement. Client surveys (n=429) and community partner surveys (n=79) revealed the importance of the PHN role. Group interview data yielded three themes: PHNs were the "hub" of community care; PHNs lacked a common language to describe their work; PHNs envisioned their future practice encompassing their full scope of competencies. PHNs developed the "ICY Public Health Nursing Model," which articulates 14 public health interventions and identifies the scope of their work.
Developing and sustaining clinical leadership in front-line PHNs was accomplished through these various quality assurance activities.
培养一线公共卫生护士（PHN）的临床领导力。
本文描述了一个旨在培养一线公共卫生护士临床领导力的质量改进过程。一个主要由一线工作人员组成的工作组开展了三项活动：让公共卫生护士参与一项在线变革准备情况调查问卷，对曾使用过温哥华一个社区婴幼儿及青少年（ICY）项目团队提供的公共卫生服务的客户进行调查，并对公共卫生服务提供者进行三次小组访谈。小组访谈询问了公共卫生护士的实践情况。采用主题内容分析法对访谈结果进行分析。
这个质量改进项目表明，公共卫生护士（n = 70）坚信有改进系统的机会。客户调查（n = 429）和社区合作伙伴调查（n = 79）揭示了公共卫生护士角色的重要性。小组访谈数据产生了三个主题：公共卫生护士是社区护理的“核心”；公共卫生护士缺乏描述其工作的通用语言；公共卫生护士设想其未来实践涵盖其全部能力范围。公共卫生护士制定了“ICY公共卫生护理模式”，该模式阐明了14项公共卫生干预措施并确定了他们的工作范围。
通过这些各种质量保证活动，在一线公共卫生护士中培养并维持了临床领导力。
